Knowledge and awareness among antenatal women in labour analgesia in a medical college in a semi-urban area in south Karnataka
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 5, Issue 1
Abstract
Objectives: Labour pain is one of the most intense pain that majority of women will endure during their lifetime. Concerns about pain in labor remain a topic of concern, and its popularity gets more common day by day as more women become aware of their rights to achieve a better quality of care during labor. There are various non-pharmacologic (transcutaneous electrical nerve stimulation, hydrotherapy, intradermal water injections and acupuncture) and pharmacologic treatments (nitrous oxide, opioids and regional analgesia techniques: spinal, epidural and combined epidural analgesia) available today. Among these, epidural analgesia offers the most effective form of pain relief and is considered to be the gold standard of labor analgesia. However epidural analgesia has not been fully accepted and is not routinely practised in most of the centres in developing countries despite many advantages of this technique. Number of patients who demand labour analgesia is remarkably low in our hospital although the service is available. The aim of this study was to find out the awareness and attitude of pregnant Indian women attending antenatal clinic of our hospital towards labour analgesia. Method: A cross-sectional descriptive study was done among one hundred and sixty consecutive women attending antenatal clinic of our hospital and willing to participate in the study were included in the survey; they were interviewed using a questionnaire that determined their knowledge of and attitudes regarding labour analgesia. The study was conducted in the Department of Obstetrics and Gynaecology at Yenepoya Medical College, Mangalore, Dakshina Kannada District. Results: Most of the patients (78%) had an idea of labor analgesia and 70% the participants expressed their willingness for labour analgesia. Educational status of women did not have influence on knowledge about labour analgesia significantly. Women those who expected moderate and severe pain had statistically significant knowledge about labour analgesia than those who expected mild pain in present delivery Conclusion: Most of the Indian parturients still suffer from agony of labour pains due to lack of awareness and adequate knowledge. The awareness level needs to be improved about the availability of the labour analgesia service, as majority of them is keen to listen to the information provided. The involvement of obstetricians is crucial in this education program.
Authors and Affiliations
Reshma Ravindran, Archana Vikram
Keywords
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